Received: 17 December 2017
Accepted: 12 June 2018
First Online: 11 July 2018
: PJ and GF serve as assistant professors of ambulatory medicine in Universidad Francisco Marroquin in Guatemala City and serve as outpatient general physicians at Obras Sociales del Hermano Pedro in Antigua Guatemala. AP is the director of the course and is a retired professor of laboratory medicine from Mayo Clinic, Rochester, MN, USA.
: Ethics approval was obtained from the ethics and scientific review committee of Obras Sociales del Hermano Pedro.
: Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
: The authors declare that they have no competing interests.
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